PDPM Coding Questions – If a resident has a BMI greater than 40 but the MD has not documented “morbid obesity”, can we enter the Z code for BMI in the MDS and receive the NTA point?

by | Mar 17, 2020 | Coding, ICD.10, MDS, PDPM, Q&A

Q:

If a resident has a BMI greater than 40 but the MD has not documented “morbid obesity”, can we enter the Z code for BMI in the MDS and receive the NTA point?

 

A:

Yes, but as stated in the ICD-10-CM Code Book: BMI codes should only be assigned when the associated diagnosis (such as overweight or obesity) meets the definition of a reportable diagnosis.

 

 

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Blog by Eleisha Wilkes, RN, RAC-CTA , Proactive Medical Review

Click here to learn more about Eleisha and the rest of the Proactive team.




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